수정된 오스웨스트리 허리기능 장애 설문지의 라쉬분석: 산업장에서의 업무관련 요통환자를 대상으로
Application of Rasch Analysis to the Modified Oswestry Low Back Pain Disability Questionnaire for Work-Related Low Back Pain Patients
2
조회
0
다운로드
6
인용
0
참고문헌
초록
The purposes of this study were to assess and modify the original classification categories of the modified Oswestry Low Back Pain Disability Questionnaire (ODQ) and to determine the unidimensionality of the modified ODQ applying Rasch Analysis. The data were obtained from 108 work-related low back pain patients by physical therapists. Construct validity of the scale using the Rasch model required the structure of the rating scale to be modified from 6 response levels to 4 response levels. Eight items from the modified ODQ fit the Rasch model. The items, “pain intensity” and “social life” showed misfit statistics. In general, the order of item difficulty of the remaining 8 items showed a logical item difficulty hierarchy with the “changing degree of pain” item being the most difficult and the “walk” item being the easiest. The results showed that further study is needed to expand the construct of ODQ including additional higher-level items related to work activities. This study may be useful for establishing a standard method to assess the functionality of low back pain patients.
Abstract
The purposes of this study were to assess and modify the original classification categories of the modified Oswestry Low Back Pain Disability Questionnaire (ODQ) and to determine the unidimensionality of the modified ODQ applying Rasch Analysis. The data were obtained from 108 work-related low back pain patients by physical therapists. Construct validity of the scale using the Rasch model required the structure of the rating scale to be modified from 6 response levels to 4 response levels. Eight items from the modified ODQ fit the Rasch model. The items, “pain intensity” and “social life” showed misfit statistics. In general, the order of item difficulty of the remaining 8 items showed a logical item difficulty hierarchy with the “changing degree of pain” item being the most difficult and the “walk” item being the easiest. The results showed that further study is needed to expand the construct of ODQ including additional higher-level items related to work activities. This study may be useful for establishing a standard method to assess the functionality of low back pain patients.
참고문헌 (31)
- 김규상, "작업 특성에 따른 인간공학적 유해요인 평가방법 도구 개발에 관한 연구 : 작업 특성에 따른 근골격계 증상, 동작수행능력 및 인간공학적 평가", 한국산업안전공단 산업안전보건연구원, ~ (2005)
- 근로복지공단, "산재모험 및 고용징수 실적분석", ~ (2003)
- 노동부 산업안전국 안전보건정책팀, "산업재해 현황분석: 산업재해보상법에 의한 업무상 재해를 중심으로" (2006)
- 박소연, "한국판 대동작 기능 평가도구의 Rasch 분석", 박사, pp.2005
- 석세일, "요통의 기전", 대한의학협회지, 35(8), pp.940~945 (1992)
- 안연순, "작업관련성 근골격계질환으로 요양승인된 사례 분석", 대한산업의학회지, 14(2), pp.154~168 (2002), 대한산업의학회
- 이정아, "한국판 버그 균형척도 평가도구의 라쉬분석", 한국전문물리치료학회지, 13(3), pp.49~56 (2006), 한국전문물리치료학회
- 이재신, "재활분야의 결과측정에서 라쉬분석 활용에 관한 고찰", 대한작업치료학회지, 14(1), pp.85~95 (2006), 대한작업치료학회
- 이충휘, "물리치료사와 작업치료사를 위한 연구방법론. 3판" (2007), 계축문화사
- 이충휘, "대동작 기능 평가도구(GMFM)의 Rasch 분석", 한국전문물리치료학회지, 11(2), pp.9~16 (2004), 한국전문물리치료학회
- 지은림, "Rasch모형의 이론과 실제" (2000), 교육과학사
- 황수진, "Activities-Specific Balance Confidence(ABC)척도에 대한 라쉬분석의 적용", 한국전문물리치료학회지, 14(1), pp.37~45 (2007), 한국전문물리치료학회
- Baldwin ML, "Self-reported severity measures as predictors of return-to-work outcomes in occupational back pain", J Occup Rehabil, 17(4), pp.683~700 (2007)
- Bond TG, "Applying the Rasch Model: Fundamental measurement in the human sciences. 2nd" (2007), Lawrence Erlbaum Associates Inc
- Davidson M, "Rasch analysis of three versions of the Oswestry Disability Questionnaire", Man Ther, 13(3), pp.222~231 (2008)
- Davidson M, "A comparison of five low back disability questionnaires: Reliability and responsiveness", Phys Ther, 82(1), pp.8~24 (2002)
- Fairbank JC, "The Oswestry low back pain disability questionnaire", Physiotherapy, 66(8), pp.271~273 (1980)
- Fritz JM, "A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale", Phys Ther, 81(2), pp.776~788 (2001)
- Grotle M, "Functional status and disability questionnaires: What do they assess? A systematic review of back-specific outcome questionnaires", Spine, 30(1), pp.130~140 (2005)
- Hudson-Cook N, "A revised Oswestry Disability Questionnaire, Back Pain: New approaches to rehabilitation and education" (1989), Manchester University Press
- Jeon CH, "Validation in the cross-cultural adaptation of the Korean version of the Oswestry Disability Index", J Korean Med Sci, 21(6), pp.1092~1097 (2006)
- Lauridsen HH, "Danish version of the Oswestry Disability Index for patients with low back pain. Part 1: Cross-cultural adaptation, reliability and validity in two different populations", Eur Spine J, 15(11), pp.1705~1716 (2006)
- Linacre JM, "Optimizing rating scale category effectiveness", J Appl Meas, 3(1), pp.85~106 (2002)
- Lunz ME, "The effect of rater severity on person ability measure: A Rasch model analysis", Am J Occup Ther, 47(4), pp.311~317 (1993)
- Lunz ME, "Measuring the impact of judge severity or examination scores", Applied Measurement in Education, 3(4), pp.331~345 (1990)
- Mousavi SJ, "The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: Translation and validation studies of the Iranian versions", Spine, 31(14), pp.E454~E459
- So-yeon Park, "Scaling of the Korean Version of the GMFM", 한국전문물리치료학회지, 12(4), pp.20~25 (2005), 한국전문물리치료학회
- Rasch G, "Probabilistic Models for Some Intelligence and Attainment Tests" (1980), Univ Chicago Press
- White LJ, "The use of Rasch measurement to improve the Oswestry classification scheme", Arch Phys Med Rehabil, 83(6), pp.822~831 (2002)
- Wright BD, "Rating Scale Analysis" (1982), Mesa Press
- Yakut E, "Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain", Spine, 29(5), pp.581~585 (2004)